NPI | 1619377553 |
---|---|
Former Name | MEGAN KEESEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20146) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171746) |
Enumeration Date | 2014-08-28 |
Last Update Date | 2015-09-17 |